Remote Claims Review Specialist (D-SNP/OneCare)
Mass General Brigham Incorporated
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. is seeking a D-SNP Claims Review Specialist to adjudicate SCO and One Care claims with accuracy and compliance. This remote role supports a nationwide team and requires familiarity with QNXT or similar adjudication systems. The ideal candidate will have 1–2 years in healthcare claims processing, knowledge of ICD-10, HCPCS, CPT-4, and strong customer service skills. A High School Diploma is required; Associate's degree is preferred. #J-18808-Ljbffr Mass General Brigham Incorporated
$17.71 - $25.28 per hour
...opportunities, and much more. The D‑SNP Claims Review Specialist reviews and processes Senior Care Options... ...processing highly preferred SCO and OneCare claims processing experience highly... ...applicable) Working Condition This is a remote role that can be done from most US...Remote workHourly payFull timeWork at officeFlexible hoursShift work$27.52 per hour
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$22 - $27 per hour
...We are looking for a skilled Claims Specialist to join our work-from-home team. In this role, you will assist in processing and reviewing insurance claims, ensuring all necessary information... ...and prioritize effectively in a remote environment Must have reliable internet...Remote workHourly payWork from homeFlexible hoursAfternoon shift$60k
...business seeking an experienced Liability Claims Specialist to analyze claims exposures, determine... ...lines. Work Arrangement: Fully Remote (Applicants must reside in Florida) Employment... ...reports and participate in client reviews. Stay current on relevant laws and maintain...Remote workPermanent employmentFull timeWork at officeWork from homeMonday to Friday- AmeriSave Mortgage Corp. is seeking a Condo Project Review Underwriter to join our remote team. This role focuses on initial and subsequent condition reviews of condo projects in refinance and purchase transactions, ensuring compliance with Fannie Mae, Freddie Mac, FHA...Remote job
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- ...Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims... .... Responsibilities This role is a remote, work from home position. The Claims... ...incorrectly paid by Insurance carriers. Review claims that have been put on hold,...Remote workWork from homeMonday to Friday
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$56.27k - $69.9k
...Pay Plan Title: Claims Specialist III Working Title: Claims Specialist III FLSA Status: Exempt... ...Range: $56,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS:... ...will also be responsible for tracking, reviewing, and coordinating timely and accurate responses...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Mobilitas, created by CSAA Insurance Group, is seeking a Sr. Claims Specialist, Commercial Casualty for remote work. You will resolve low to moderate complexity... ...role emphasizes coverage determinations, subrogation review, and collaboration with teams. Travel may be required...Remote work
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$22 - $27 per hour
A leading insurance solutions provider is seeking a skilled Claims Specialist to join their remote team. In this role, you will assist in processing and reviewing insurance claims, ensuring accuracy and effective resolution. Ideal candidates should have strong attention...Remote workHourly pay$130k - $160k
...and decision making in a best practices claim environment to promptly analyze the claim... ...where necessary. Obtain relevant policies, review policy wordings to validate coverage for... ...is a plus. Attain expert comfort level in remote and work from home virtual working...Remote workWork at officeWork from homeFlexible hours3 days per week- ...Working remotely in a full-time capacity, the Claims Processing Specialist will be responsible for reviewing and processing claims for various Employer benefit plans while ensuring compliance with IRS regulations and employer-specific rules. Key responsibilities Process...Remote workFull time
- ...Mobilitas, a remote-first commercial insurance company, seeks a Claims Specialist, Commercial Casualty to resolve 1st and 3rd party injury claims of low to moderate... ...determinations, liability assessment, subrogation review, and negotiations with insureds and claimants...Remote workFlexible hours
$29.33 per hour
...Claims Specialist IIJoin an amazing team that is consistently recognized for our achievements and... ...hiring process.For positions that work remotely or in a hybrid work-from-home... ...Interaction and Claims Process Management: Review and explain coverage details and the claims...Remote workHourly payWork from homeMonday to Friday- Sedgwick Claims Management Services Ltd in Ohio seeks a Sr Adjuster/Marine Surveyor to investigate and adjust property and casualty claims... ...options in Ohio. You will inspect and investigate claims, review policies, prepare repair estimates, interview claimants and witnesses...Remote job
$83k - $104k
...customers and partners. Job Summary The Senior Claim Specialist position at Golden State Claims... ...reservation of rights and coverage denials for review and approval by their Supervisor/... ...Work from home reimbursement for remote/hybrid roles Canary emergency financial...Remote workTemporary workLocal areaWork from home- ...We're Hiring! Remote Claims Specialist - Hybrid Ready to level up your career from the comfort of your home? Join us as a Claims Specialist... ...nature and extent of injury and medical conditions. Reviews and handles other correspondence within authority including...Remote workTemporary work
- ...Join Hiscox as a Complex Claims SpecialistBuild a brilliant future... .... However, qualified remote candidates will also be considered... ...to the market. Complex Claims Specialists are empowered to manage their... ...Liability Claims (BI & PD)Draft and review coverage analysesMonitor...Remote workPrivate practiceWork at officeLocal area2 days per week
$25.87 - $35.84 per hour
...West; Work from Home Work Arrangement: Remote : Work at home employee residing outside... ...a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization... ...with claimants, obtaining, and reviewing medical records and making timely and ethical...Remote workTemporary workWork experience placementWork at officeWork from homeRelocation package- ...To support a growing claims management team, an Iowa Licensed Liability Claims Specialist will adjudicate commercial auto and general liability... ...information while working full-time in a remote capacity. Key responsibilities: Review coverage and investigate bodily injury...Remote workFull time
$100 per hour
...Claims Specialist | $100/hr Remote | Mercor This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience... ...such as Guidewire ClaimCenter and Xactimate. Documentation Review: Review third-party documentation including police reports...Remote workHourly payContract workFor contractorsFlexible hours
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